Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | RN2336913 | MA |
NPI | 1023689510 |
---|---|
Provider Name | Mr. Patrick Curran III |
First Address | Boston, MA 02127-3872 |
Second Address | Boston, MA 02215-5418 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2021 |
Last Update Date | 13/09/2021 |